问题 多项选择题 案例分析题

某男,22岁,大四学生。因"缓起头痛头紧、心烦、脾气大、易疲劳1年余"就诊。自诉1年多来经常感觉头昏脑涨,头部像有一个"紧箍咒",整天昏昏沉沉的。经常无缘无故觉得累,但一玩游戏则感觉好些;容易困,但很难进入较深的睡眠状态。服用营养品效果不佳,迫切希望医生改善头痛症状。家族史中二系三代无精神病史。

你认为以下治疗措施合适的是()

A.休学,回家静养

B.给予抗精神病药治疗

C.适当给予苯二氮类药物,如阿普唑仑

D.放松训练疗法一

E.立刻住封闭式病房治疗

F.向家属交代病情,防自杀行为

G.向患者讲解疾病性质,保持规律的生活习惯

答案

参考答案:C, D, G

选择题
填空题

Seasick Try Controlling Your Breathing


If you get seasick easily, you may prepare for boat rides with pressure-point bracelets, ginger, or a prescription skin patch. (1) The technique presumably works because it helps control gravity sensors in the abdomen-a lesser-known input to our fine-tuned balance system.
(2) The inner ears sense motions of the head; the eyes see where the head is; and tiny sensory organs in muscles and tendons sense where the rest of the body is. More recently, researchers have realized that sensors in many other parts of the body also play a role: in the abdomen, the lower organs, and even blood vessels. (3) But if one or two don’t match up, the brain gets confused and we become nauseated.
Scientists knew the most sickening motions closely match the rate of natural breathing; they also knew that people naturally tend to breathe in time with a motion. (4)
Researchers from Imperial College London enlisted 26 volunteers to sit in a tilting, rocking flight simulator and coordinate their breathing in various ways with the motion. (5) The natural tendency was for volunteers to inhale on every backward tilt, in rhythm with the rocking. (6) They felt even better if they breathed slightly faster or slower than the cyclic heaving of the chair; using that technique, the time until onset of nausea was 50% longer than during normal breathing.
(7) Abdominal sensors are known to send motion signals to the brain more slowly than those in the inner ear because they’re farther away from the brain and because abdominal organs have more mass, which means they resist movement a tiny bit longer. (8) But if the diaphragm opposes gravity-induced stomach motions with controlled breaths, there is less sensory conflict and less nausea. "This technique is very good for mild everyday challenges," says medical research scientist Michael Gresty, a member of the study team. "it’s completely safe, and it’s not a drug."
A. But if the subjects exhaled on every backward tilt, they didn’t get sick as quickly.
B. As long as all of these sensors send matching signals to the brain, we feel oriented.
C. Now there’s one more remedy: timing your breathing to counteract the nauseating motion.
D. So why do these tactics work
E. The brain is traditionally thought to sense body position in three ways.
F. The time lag between the two types of sensors creates a mismatch that builds up in the brain and makes us gradually sicker, the researchers say.
G. The tests lasted up to 30 minutes, or until subjects felt moderately sick.
H. But no one had ever tested whether breathing out of time with a motion could prevent nausea.